Sports and Functional Medicine
NPI #1174829584 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1174829584
- Entity Type
- Organization
- Organization Name
- Sports and Functional Medicine
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 2, 2011
- Last Updated
- Mar 2, 2011
Practice Location
- Address
- 9316 E RAINTREE DR
- Address 2
- SUITE 140
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85260-3005
- Phone
- (480) 614-2322
Authorized Official
- Name
- DR. SIMON MARK BILLINGHAM, D.C.
- Title
- PRESIDENT
- Phone
- (480) 614-2322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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